Riverside Eye Specialists Medical Group Inc. in Riverside - Ophthalmology

Riverside Eye Specialists Medical Group Inc. - NPI 1508828963

Riverside Eye Specialists Medical Group Inc. is a Ophthalmology in Riverside, California. Riverside Eye Specialists Medical Group Inc. practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Riverside Eye Specialists Medical Group Inc. is 1508828963. The last update date is 2013-11-26.

Riverside Eye Specialists Medical Group Inc.'s current location address is 4605 Brockton Ave, Riverside, California. You can contact this provider via phone number 9516864911 and fax number 9516869409. The mailing address for Riverside Eye Specialists Medical Group Inc. is 4605 Brockton Ave, Riverside, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Riverside Eye Specialists Medical Group Inc.
Address 4605 Brockton Ave, Riverside, California
Phone Number 9516864911
Fax Number 9516869409
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SECRETARY/
Authorized Official Name Glendrange Rogers Ray
Credentials M.D.
Telephone Number 9516864911

NPI Number Detail

NPI Number 1508828963
Provider Enumeration Date 2006-04-03
Last Updated Date 2013-11-26

Provider Mailing Address Detail

Address 4605 Brockton Ave
City Riverside
State California (CA)
Post Code 925060106
Phone Number 9516864911
Fax Number 9516869409

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CD8734 CA PALMETTO, GBA
GR0079980 CA --

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FAQs about Riverside Eye Specialists Medical Group Inc.

What is the Riverside Eye Specialists Medical Group Inc.'s specialty and taxonomy code?

The Riverside Eye Specialists Medical Group Inc.'s specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.

What is the area of specialization for Riverside Eye Specialists Medical Group Inc., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Riverside Eye Specialists Medical Group Inc. is Ophthalmology, and the corresponding taxonomy code that categorizes this area of expertise is 207W00000X.

When was the Riverside Eye Specialists Medical Group Inc.'s 1508828963 issued?

The Riverside Eye Specialists Medical Group Inc.'s 1508828963 was issued on 2006-04-03.

On what date did the Centers for Medicare & Medicaid Services issue the 1508828963 to Riverside Eye Specialists Medical Group Inc.?

The Riverside Eye Specialists Medical Group Inc. received its 1508828963 assignment from the Centers for Medicare & Medicaid Services on 2006-04-03.

When was the information pertaining to Riverside Eye Specialists Medical Group Inc. most recently updated or revised?

The details related to Riverside Eye Specialists Medical Group Inc., including its address, specialty, and other relevant information, were last updated or revised on 2013-11-26.

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